HomeMy WebLinkAbout0099166-Electric CITY OF OSHKOSH
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3135 HALLIE HOLLOW CT Owner THOMAS N RUSCH
Contractor CUMINGS ELECTRIC Category 611 - Residential-New Single Family Wirin
Service ~ New O Change (~ Temp I Type ~ Overhead
Volts 120 / 240 Circuits 0
Amps 200 Switches 0
No 99166
Create Date 12116/2002
Plan
Fixtures 0
Receptacles 0
Appliances Range, Water Heater, Garbage Disposal, Dryer, Dishwasher, Fan or Blower, Furnace, NC
Use/Nature of NSFPJ New single family 2 story* CEI #5577
Work
Fees: Valuation
Issued By: ~
$3,500.00 Plan Approval $0.00 Permit Fee Paid $90.00
Date 12/20/2002
[] Permit Voided j
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agenb'Owner
Address PO BOX 749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 Telephone Number
231-5946
ELECTRICAL PERMIT APPLICATION
Incomplete ,'q')[~licatic.~n,.n w'i].l nor. be proc~_~sm:d,
JOB ~DDR~ ~~LIE HOLLOW
O~N~B RUSOH HOME8
DATE 12/20/02
,~o[~ NO. 5577
CONTRACTOR CUMINGS ELECTRIC INC.
CHECK ALL APPLICABLE
USE CATEGORY:
SERVICE:
TYPE:
aM~S 200
SINGLE FAMILY~ DUPLEX[~ MULTI-FAMILY~ RENTALC~
COMMERCIAL~ ~NDUSTR/AL~
NEw [] CI.IANGE ~ TEMPORARY [] NOT APPLICABLE
OVERHEAD [] UNDERGROUND [] NOT APPLICAGLE
FIXTURES ~ SWfTCHES ~ I{ECEPTACLES ~ CIRCUITS
VOLTS 120/240 PHASE ~
CNECKALL APPLICABLE
RANGE []
DISHWASHER []
ELECTRIC SIGN []
WATER HEATEi( []
FAN OR BLOWER []
MOTORS []
GARBAGE D!SPO.~;AL []
?URNACE []
GAS PUMPS []
DESCRIPTION OF ALL WORK BEING DONE NEW HOUSE
DRYER []
[]
OTHER
VALUE (Including labor and ail material~ including light fixtures) $3,500.00
PERMIT FEE ~
MASTER ELECTRICIAN RICHARD J WENZEL
.(;ubmi~ payment with application. Failurc to pay w4t. hin 30 days will result in
~ees being doubled of $100.00 plus the normal permit tee, which ever is greater.
OR
f~h~'~c~ I'.'~%z):, i.t' .K. oU wnnl. chi:: ,pr¢,c.'os..','c~d thr,'~ugh youz' account. []
~10()-07.r' )-2515-()()()00 " '
I 'd 69L0 E~L 0~8 I:13 ~60:I0 ~00~ o,91/